| NPI | 1215813936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LISA HUBER Owner 404-348-8315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 101YM0800X Counselor, Mental Health | |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-08-15 |